Karen Young

4 source records from 2 feeds.

MBR-031803Verified4 records

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First nameCLM: Karen
Middle name—: —
Last nameCLM: Young
Date of birthCLM: 1971-06-26
GenderCLM: M
Member IDCLM: UHC-94385-95
SSNCLM: •••-••-2262
PhoneCLM: 2348243929
Email—: —
AddressCLM: 2949 Hillcrest Rd Apt 1
CityCLM: San Diego
StateCLM: CA
ZIP—: —
GroupCLM: GRP-0288
PlanCLM: CORE-HMO

Min confidence

0.96

Sources

TPA ×2CLM ×2

Updated

2026-10-19 19:54:36

run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link

Linked source records

Silver values for each record in the cluster, and how it was attached

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
TPA-63640	TPA	2026-05-22	Karen Youngflagged	1971-06-26	—	—	2949 Hillcrest Rd, San Diego, CA	Scored	1.00	—
TPA-63639	TPA	2026-05-26	Karen Youngflagged	1971-06-26	UHC-94385-95	—	2949 Hillcrest Rd, San Diego, CA	Scored	1.00	—
CLM-430857	CLM	2026-05-28	Karen Youngflagged	1971-06-26	UHC-94385-95	2348243929	2949 Hillcrest Rd, San Diego, CA	Scored	1.00	—
CLM-430856	CLM	2026-09-22	Karen Youngflagged	—	UHC-94385-95	—	2949 Hillcrest Rd Apt 1, San Diego, CA	Rule	0.96	D3 member id + name

Evidence

5 scored pairs among these records, expand a row for the per-field comparison

Score

Method

Rule

Decision

▶TPA-63640TPACLM-430857CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63640TPATPA-63639TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63639TPACLM-430857CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63639TPACLM-430856CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430857CLMCLM-430856CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyc803645d6b
matching_agent, CLM-430856, identity id MBR-031803, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-63639
2026-10-19 19:54:38Record linked automaticallye0c5e27d48
scoring_agent, CLM-430857, identity id MBR-031803, confidence 1, method probabilistic, matched record TPA-63640, policy version 1
2026-10-19 19:54:38Record linked automaticallyb0d0feddc0
scoring_agent, TPA-63639, identity id MBR-031803, confidence 1, method probabilistic, matched record TPA-63640, policy version 1
2026-10-19 19:54:38Record linked automaticallyf049cf20e9
scoring_agent, TPA-63640, identity id MBR-031803, confidence 1, method probabilistic, matched record TPA-63639, policy version 1
2026-10-19 19:52:09Record linked automaticallyef9f285b01
matching_agent, CLM-430856, identity id MBR-031803, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-63639
2026-10-19 19:52:09Record linked automaticallydd5e687473
scoring_agent, CLM-430857, identity id MBR-031803, confidence 1, method probabilistic, matched record TPA-63640, policy version 1
2026-10-19 19:52:09Record linked automaticallyc1a0b01f55
scoring_agent, TPA-63639, identity id MBR-031803, confidence 1, method probabilistic, matched record TPA-63640, policy version 1
2026-10-19 19:52:09Record linked automatically4917fcf976
scoring_agent, TPA-63640, identity id MBR-031803, confidence 1, method probabilistic, matched record TPA-63639, policy version 1
2026-10-19 19:45:42Record linked automatically953521c606
matching_agent, CLM-430856, identity id MBR-031803, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-63639
2026-10-19 19:45:42Record linked automatically965344d6e1
scoring_agent, CLM-430857, identity id MBR-031803, confidence 1, method probabilistic, matched record TPA-63640, policy version 1
2026-10-19 19:45:42Record linked automaticallycbf88851bf
scoring_agent, TPA-63639, identity id MBR-031803, confidence 1, method probabilistic, matched record TPA-63640, policy version 1
2026-10-19 19:45:42Record linked automaticallycc08e789f3
scoring_agent, TPA-63640, identity id MBR-031803, confidence 1, method probabilistic, matched record TPA-63639, policy version 1
2026-10-19 19:32:31Record linked automaticallycd9b823214
matching_agent, CLM-430856, identity id MBR-031803, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-63639
2026-10-19 19:32:31Record linked automatically23fb58a141
scoring_agent, CLM-430857, identity id MBR-031803, confidence 1, method probabilistic, matched record TPA-63640, policy version 1
2026-10-19 19:32:31Record linked automaticallyc207a118e0
scoring_agent, TPA-63639, identity id MBR-031803, confidence 1, method probabilistic, matched record TPA-63640, policy version 1
2026-10-19 19:32:31Record linked automatically94eb5076ea
scoring_agent, TPA-63640, identity id MBR-031803, confidence 1, method probabilistic, matched record TPA-63639, policy version 1
2026-10-19 19:31:28Record linked automaticallyda60e81469
matching_agent, TPA-63639, identity id MBR-022405, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141093
2026-10-19 19:31:28Record linked automatically784210c14b
matching_agent, CLM-430856, identity id MBR-010402, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-140717

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-032035	2026-09-04	Riverside Diagnostic Imaging in network	76700	$591.00	$39.07	Approved	Approved
CLM-2026-018695	2026-05-18	Desert Diagnostic Imaging in network	70553, 74177	$4,540.00	—	Needs review	Needs review
CLM-2026-018694	2026-05-18	Meadow Imaging Center in network	70553, 74177	$4,540.00	$1,559.43	Approved	Approved